HomeMy WebLinkAbout1993-005114 - sewer connect PE�IV�IT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: t����i�� `t I�AS�R
Orono, Minnesota 55356-0815 `'{-'S1 1�.
(612) 473-7357 Date Issued: t_�e;/��;�,�'�:_;
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — ��=��=I i c�n t. — OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE L�j�� �
CITY OF ORONO , . APPLICATION FOR DTILITY PERMITS
Box 66 (1335 So Brown Rd) SEWER WATER
Crystal Bay, MN 55323
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x I: You ma�y}a p�or utility permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below. ''
Permit cards will be sent by return mail the same day the applica.tion is received.
3. P�mits are nat valid imtil ynu reoeive a pern�it c�xd.
4. Work must not begin unless the permit card is available on the job site.
5. Utility connection permits may be issued to licensed contractors only.
6. Contact the Public Works Department (473-7357) for utility stub as-built locations: -'
DO NC7I' F�CAVATE IN ANY SZREE'r AND DO NOT TAP ANY MAIN without express approval of the
Public Works Department. Issuance of a permit does not grant this approval.
7. All work must be done in accordance wi.th State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 haur notiae required.
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JOB SITE ADDRESS: l.�l� ��--E=�� � � '
Occupancy Type: Resident' 1 Commercial
OWNER'S Nl�ML: S�- ���„ Phone No. :
Mailing Address: , City: � �- _
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CONTRACTOR'S NAI�II;: i %- � Bus . Phone: i,�`/�• -�����
Mailing Address: �/ City: } r,-a=�� - Zip: .SS�,��`'s �
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_____. PERMIT TYPE AND FEE CALCIILATION
MIINICIPAL SEWER CONNECTION ($30. 00 per stub) $
pipe size inches; material PVC (on sand fill) ; cast iron
SAC Charge ( $700.00 ) must accompany alI sewer permit applications unless
prepaid. If not prepaid, a sewer connection permit will not be issued.
MDNICIPAL WATER CONNECTION ($30. 00 per stub) $
pipe size inches; material copper; other
WATER METERS must be picked up and paid for at City Hall.
(5/8" meters = $133. 00; 3/4" meters = $181. 00; 1" meters = $235. 00)
Water meters must be set and sealed by Orono Water Department (473-7357)
upon campletion of ineter installation.
REQUIRED minimum setbacks f rom drainfield and septic tanks = 75 '
REQUIRED setback from sewer line = 20 '
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l. Subtotal of above permit requested $
2. State Surcharge .50
The State Building Code Division Surcharge of .50 per permit must e
included for each well, sewer and water connection permit requested.
3 . Postage � Handling (Only mail-in applications) $ 1. 50
4. TOTAL PERIKIT FEE (add lines 1-3 above) $
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The undersigned hereby applies to the City of Orono for issuance of a Utility Permit,
agrees to do all work in strict accordance with the ordinances of the City and the
regulations of the State of Minnesota, and certifies that all statements made on this
application are co�lete, true and correct.
, , . � .� � "�%-�'� � Date: � - 7 ��'��
Signature of Applicant: ,�% � '
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DATE �y TIME
CITY OF ORONO CALLED W �� �� 7 �
INSPECTION NOTJ�E SCHEDULED ri /3 / % � �
PERMIT NO. •_�/� COMPLETED � _�
ADDRESS �r L'U � �f�
OWNER /� ��n�-��✓ CONTR. G(/�(���: _
TELEPHONE NO. ��� � ���J
� DESCRIPTION ���-�Z��
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z04 LL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 5 FI 13 URN ON 17 SITE INSPECTION
� 07 DEMO—SITE 4 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ��
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� ❑ CORREGLW�8 PRpGE@B`.� z� ❑ IS UE CERTIFI TE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. " PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
Owner/Contra�o ite:
Inspector. ..
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